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Organization

MDG - MCDONOUGH DENTAL LLC

Active
Other names
Dellinger's Dental Office
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT KELLEN MCWHORTER MD (DENTIST)
(801) 358-8175
Entity
Organization

Contact information

Practice address
97 ATLANTA ST STE 200, MCDONOUGH, GA 30253-2192
(770) 954-7780
(770) 954-1640
Mailing address
97 ATLANTA ST STE 200, MCDONOUGH, GA 30253-2192
(770) 954-7780
(770) 954-1640

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
09/05/2024
Last updated
09/05/2024
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